Progesterone increases tissue factor gene expression, procoagulant activity, and invasion in the breast cancer cell line ZR-75-1

Sumie Kato, Mauricio Pinto, Andrés Carvajal, Natalia Espinoza, Carolina Monso, Anil Sadarangani, Manuel Villalon, Jan J. Brosens, John O. White, Jennifer K. Richer, Kathryn B. Horwitz, Gareth I. Owen*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

50 Scopus citations


Progesterone in hormonal preparations increases the incidence of breast cancer. Tissue factor (TF), the initiator of the extrinsic coagulation pathway, is associated with metastasis in a wide variety of cancers. We demonstrate herein that TF mRNA and protein are up-regulated by progesterone in the breast cancer cell line ZR-75. Epidermal growth factor, also associated with increased breast cancer risk, did not regulate TF. The increase in TF is both rapid and transient; increasing after 6 h, reaching a maximum at 24 h, before decreasing to basal levels at 72 h. Sucrose gradient experiments demonstrated that TF is located in the heavy fraction of the plasma membrane, although caveolin-1 is not expressed in ZR-75. To understand the physiological implications of an increase in TF, we performed coagulation and invasion assays. An increase in TF corresponded to an increase in procoagulant activity. Furthermore, progesterone increased the invasion of ZR-75 cells through a matrigel, an effect that was blocked by an antibody against TF. Because TF expression is associated with an enhanced risk of metastasis, we postulate that the progesterone-dependent up-regulation of TF provides a survival advantage to burgeoning breast cancer cells and may contribute to the increased risk of cancer associated with combined hormone replacement therapy.

Original languageEnglish
Pages (from-to)1181-1188
Number of pages8
JournalJournal of Clinical Endocrinology and Metabolism
Issue number2
StatePublished - Feb 2005
Externally publishedYes


  • Breast Neoplasms
  • Cell Line, Tumor
  • Cell Survival
  • Endometrial Neoplasms
  • Epidermal Growth Factor
  • Female
  • Gene Expression Regulation
  • Neoplastic
  • Humans
  • Neoplasm Invasiveness
  • Progesterone
  • Reverse Transcriptase Polymerase Chain Reaction
  • Sucrose
  • Thromboplastin


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